Azorna Healthcare Tucson LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AZORNA HEALTHCARE TUCSON LLC

Practice address

3275 W Ina Rd Ste 145
Tucson, AZ 85741-2328

Phone

(520) 965-0300

Fax

(520) 965-0301

NPI assigned

Dec 14, 2023

Last updated

Nov 29, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Robert Hunt

Title

Member

Phone

(480) 637-4100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194593509. Details of each certification follow.

• CCN 001545 Hospice · Terminated · Details

Hospice certification: CCN 001545

Legal name

AZORNA HEALTHCARE TUCSON LLC

Doing business as

AZORNA HOSPICE AND PALLIATIVE CARE OF TUCSON

Certification status

Terminated Involuntary: failure to meet agreement, Aug 2, 2025

Provider type (POS)

Hospice

Participating since

Sep 29, 2022

Last certification

Sep 29, 2022

Most recent change of ownership

Dec 29, 2023

Organization structure

LLCProprietary

Incorporated

Dec 14, 2023 in NV

Enrollment address

1 S Church Ave Ste 1200
Office 1214
Tucson, AZ 85701-1612

Listed as

Azorna Hospice and Palliative Care of TucsonCCN 001545 · All quality measures

Certified

Sep 29, 2022

Medicare certification status

Terminated Involuntary: failure to meet agreement, Aug 2, 2025From the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Azorna Healthcare LLC

  dba Azorna Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Mesa, AZ
  • NPI 1144933342

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Dheeraj Kumar Bobba, MD

  • Primary Care Clinic/Center
  • Mesa, AZ
  • NPI 1588878508

  5% Or Greater Indirect Ownership Interest

  CMS ownership
• Molly Ann Finley, D.O.

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1639243058

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Blue Wings Hospice Inc

  • Community Based Hospice Care Agency
  • Tucson, AZ
  • NPI 1366111270

  Acquired from, 2023-12-29

  CMS change of ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Molly Ann Finley, D.O.

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1639243058
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1194593509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 E BASELINE RD STE 114",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064702",
            "telephone_number": "480-637-4100",
            "fax_number": "480-637-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 W INA RD STE 145",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412328",
            "telephone_number": "520-965-0300",
            "fax_number": "520-965-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZORNA HEALTHCARE TUCSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-637-4100"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.